NPI | 1740265297 |
---|---|
Former Name | MARTHA L SZAFRANIEC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4857) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018168) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2020-12-11 |